DR. BARRY BURTON PUTEGNAT (MD) – Diagnostic Radiology Physician, NPI 1063464030

DR. BARRY BURTON PUTEGNAT (MD) is a healthcare provider. based in Fort worth, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. K7203 (TX). The NPI Number for DR. BARRY BURTON PUTEGNAT (MD) is 1063464030

Main info

Male
30 Years Of Experience
Name
DR. BARRY BURTON PUTEGNAT (MD)
NPI
1063464030
Phone
(817) 321-0312
Address
816 W CANNON ST
Enumeration Date
17 May 2006
Last Update Date
15 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098927171
Graduation Year
1996 (30 years ago)
PAC ID
0345236915
Group Practice PAC ID
6507814084
Professional Enrollment ID
I20040421000608
Address ID
TX777021809BE2830XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for DR. BARRY BURTON PUTEGNAT (MD)

  • 816, West Cannon Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761043146

    Phone: (817) 321-0312

    Fax: (817) 317-7033

    Type: Mailing

  • 815, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042224

    Phone: (817) 321-0312

    Fax: (817) 317-7033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040421000608IDiagnostic RadiologyTXTBD
I20250807002083IDiagnostic RadiologyMSTBD
I20250808000116IDiagnostic RadiologyLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view482454$0
74018X-ray of abdomen, 1 view6762$0
70450Ct scan head or brain without contrast5454$0
74177Ct scan of abdomen and pelvis with contrast4747$0
74176Ct scan of abdomen and pelvis without contrast4646$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507814084View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyFL
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyPA
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

Can I cross-check DR. BARRY BURTON PUTEGNAT (MD) using NPI 1063464030?
NPI 1063464030 belongs to DR. BARRY BURTON PUTEGNAT (MD); compare other details if you need extra assurance.
Is DR. BARRY BURTON PUTEGNAT (MD) still an active registrant?
DR. BARRY BURTON PUTEGNAT (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. BARRY BURTON PUTEGNAT (MD)?
DR. BARRY BURTON PUTEGNAT (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BARRY BURTON PUTEGNAT (MD) located near Fort Worth?
DR. BARRY BURTON PUTEGNAT (MD) currently maps to Fort Worth, Texas in this extract.
Can I trust this NPI listing for DR. BARRY BURTON PUTEGNAT (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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